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04-7214 (SFD)L I 504 LE TAMPICO CALIFORNIA 92253 Applicatidn description Property Zoning Application valuation BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Owner ------------------------ SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE AZ 85258 •Date 11/18/04 C60449_HONEYSUCKLE-ST- -`-1 764 -270 -999 -146 -300233 - DWELLING - SINGLE FAMILY DETACHED MEDIUM HIGH DENSITY RES 186748 Contractor SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA CA 922.53 (760) 777-6005 w WCC: NTL UNION INS WC: 6436568 08/01/05 CSLB.: 672285 06/30/05 CCC: B -------------------------- Structure Information -------------------------- Constructi , Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other'struct info . . . . . CODE EDITION .2001 CBC FIRE'SPRINKLERS NO GARAGE SQ FTG 478-. ,0 0 PATIO SQ FTG 178.00 NUMBER OF•UNITS 1.00 ------------------------------------------------------------------=--------- FIRST FLOOR SQ FTG 2166.00 Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . 944.00 Plan Check Fee 633.60 -Issue Date . . . . Valuation . . . . 186748 Qty Unit Charge Per Extension BASE FEE 639.50 87.00 3.5000 THOU. BLDG 100,001-500,000 304.*50 -------------------------------------------------------------- --------- Permit . . . . . . MECHANICAL Additional desc . . Permit Fee . . . . 59.00 Plan Check Fee 14.75 Issue Date Valuation . . . . 0 Qty Unit Charge Per 1.00 9.0000 EA 1.00 9.0000 EA 3.00 6.5000 EA BASE FEE MECH FURNACE <=100K MECH-B/C <=3HP/100K BTU MECH VENT FAN Extension 15.00 9.00 9.00 19.56 P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: © u - ?9-1 D te: /A •1'7 -a Applicant: H,I r c"to gi eerC 1C V 1 CJS J r Applicant's Mailing Address: Architect or Engineer's Address: tic. No. tC�- 2, G- Qb I BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm un e ally of perjury that I am licensed under provisi ns er 888000 ep with Section 7000 of Division 3 of the Business and Professionals and my Lice full force and effect. ) License Class i�cen�se(No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , B:& P.C. for this reason Date WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. r1 -I h v nd i m intain worker compensation ' uranc , a fired by ection 3700 of the Labor Code, for the performance of the work for which this permit is s d. My we k compe ation i nce m d ear crier 1. �y Numbe , _ I certify that, in the performance of the work for which this emit is issued, I shall Eot employ any person in any manner so as to become subject to the workers' 1 compensation laws of California, and agree that, if I s Id become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwijh comply with those prcyiriRns.n WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnity and hold harmless the City of La Ouinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if wo is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the abov information is ect. agree to comply with all city and county ordinances and state laws relating to building ;ate nstruction, nd here authorize representatives of this conn pon e -mentioned property for inspection purposes. 1 L n g ature (Applicant or Age S N Page 2 .Application Number . . . . . 04-00007214 Date 11/18/04 Qty Unit Charge Per Extension 11..00; ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 100.37 Plan Check Fee 25.09 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2166.00 0350 ELEC NEW RES - 1 OR 2 FAMILY 75.81 478.00 -------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.56 -------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc .. Permit Fee 141.00 Plan Check Fee 35.25 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 12.00 6.0000 EA PLB FIXTURE 72.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 6.00 .7500 EA PLB GAS PIPE >=5 4.50 1.00 ---------------------------------------------------------------------------- 15.0000 EA PLB GAS METER 15.00 Permit GRADING PERMIT Additional desc Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension -----------=---------------------------------------------------------------- BASE FEE 15.00 Special Notes and Comments SFD - LOT 146, PLAN 5515C. 22 SF BAY @MBR & NOOK -22 SF. PERMIT DOES NOT INCLUDE POOL, SPA BLOCK WALLS OR DRIVEWAY APPROACH Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 Page 3 Application Number . . . . . 04-00007214 Date 11/18/04 -------------------.--------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 61.36 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE 00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 18.67 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due ----------------- Permit Fee Total ---------- 1259.37 ------------------------------ .00 .00 1259.37 Plan Check Total 688.69 .00 .00 688.69 Other Fee Total 2485.03 .00 .00 2485.03 Grand Total 4433.09 .00 .00 4433.09